Cognitive‐Behavioral Models of Social Anxiety Disorder

Wong, Jillian W.; and, Elizabeth A. Gordon; Heimberg, Richard G.

doi:10.1002/9781118653920.ch1

Cited by 33 publications

(17 citation statements)

References 36 publications

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“…Given experiences of exclusion and other negative social experiences during treatment, participants’ mistrust towards others is understandable. Cognitive behavioural models to understand social anxiety, typically posit that fear of evaluation, selective attention to cues of evaluation, maladaptive avoidance behaviours, and dysfunctional cognitions are the core factors involved in the maintenance of problems [ 42 ]. In the context of cancer, minority stress models may be relevant to fit with CBT models of social anxiety [ 43 ] to account for experiences related to stigma and alienation.…”

Section: Discussionmentioning

confidence: 99%

Exploration of psychological distress experienced by survivors of adolescent cancer reporting a need for psychological support

et al. 2018

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ObjectiveIn this qualitative study, we aimed to provide an in-depth exploration of cancer-related psychological distress experienced by young survivors of cancer during adolescence reporting a need for psychological support.MethodsTwo individual interviews were held with ten young survivors of cancer diagnosed in adolescence. The interviews were audio-recorded and transcribed verbatim. Analysis followed the guidelines for inductive qualitative manifest content analysis.ResultsThe survivors described distress experienced during and after the end of treatment. Five categories comprising 14 subcategories were generated. The categories included: A tough treatment, Marked and hindered, Not feeling good enough, Struggling with the fragility of life, and finally, An ongoing battle with emotions.ConclusionYoung survivors of adolescent cancer reporting a need for psychological support described feeling physically, socially, and mentally marked by the cancer experience. They struggled with powerlessness, insecurity, social disconnection, loneliness, and feelings of being unimportant and a failure, and had difficulties understanding and managing their experiences. These concerns should be addressed in psychological treatments for the population irrespective of which approach or model is used to understand survivors’ difficulties. A trans-diagnostic approach targeting processes that underpin different manifestations of distress may be effective.

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Section: Discussionmentioning

confidence: 99%

Exploration of psychological distress experienced by survivors of adolescent cancer reporting a need for psychological support

et al. 2018

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“…Cognitive-behavioral models of SAD (e.g., Clark & Wells, 1995; Heimberg, Brozovich, & Rapee, 2010; Hofmann, 2007; see Wong, Gordon, & Heimberg, in press, for a review and comparison of cognitive-behavioral models of SAD) posit that dysfunctional information processing contributes to the etiology and maintenance of the disorder. In fact, a large body of research documents the occurrence of one type of dysfunctional information processing, attentional bias toward social threat stimuli, in SAD (for a review, see Morrison & Heimberg, 2013; for a review of attentional bias toward threat stimuli in the anxiety disorders more generally, see Bar-Haim, Lamy, Pergamin, Bakermans-Kranenburg, & van Ijzendoorn, 2007).…”

Section: Attentional Biases In Social Anxiety Disordermentioning

confidence: 99%

Implicit associations in social anxiety disorder: The effects of comorbid depression

Wong

Morrison

Heimberg

et al. 2014

Journal of Anxiety Disorders

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Implicit associations of the self to concepts like “calm” have been shown to be weaker in persons with social anxiety than in non-anxious healthy controls. However, other implicit self associations, such as those to acceptance or rejection, have been less studied in social anxiety, and none of this work has been conducted with clinical samples. Furthermore, the importance of depression in these relationships has not been well investigated. We addressed these issues by administering two Implicit Association Tests (IATs; Greenwald, McGhee, & Schwartz, 1998), one examining the implicit association of self/other to anxiety/calmness and the other examining the association of self/other to rejection/acceptance, to individuals with generalized social anxiety disorder (SAD, n = 85), individuals with generalized SAD and a current or past diagnosis of major depressive disorder or current dysthymic disorder (n = 47), and non-anxious, non-depressed healthy controls (n = 44). The SAD and SAD-depression groups showed weaker implicit self-calmness associations than healthy controls, with the comorbid group showing the weakest self-calmness associations. The SAD-depression group showed the weakest implicit self-acceptance associations; no difference was found between non-depressed individuals with SAD and healthy controls. Post hoc analyses revealed that differences appeared to be driven by those with current depression. The SAD-only and SAD-depression groups did not differ in self-reported (explicit) social anxiety. The implications of these findings for the understanding of SAD-depression comorbidity and for the treatment of SAD are considered.

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“…Models put forth by Heimberg and colleagues (Heimberg, Brozovich, & Rapee, 2010;Rapee & Heimberg, 1997), Clark and Wells (1995), Hofmann (2007), and Moscovitch (2009) focus on cognitive aspects of social anxietyincluding the perception of an audience, negatively skewed view of the self, fear of negative evaluation (FNE), and self-perceived deficits-as well as behavioral aspects of social anxiety, such as safety behaviors. These models postulate that individuals with SAD attend more to negative stimuli during ambiguous events, overestimate the negativity of others' appraisals of their performance, overestimate the probability of negative evaluations, and catastrophize the consequences of negative evaluations (for comparison of these and other models, see Wong, Gordon, & Heimberg, 2014).…”

Section: Introductionmentioning

confidence: 97%

Cognitive Constructs and Social Anxiety Disorder: Beyond Fearing Negative Evaluation

Sapach

Carleton

Mulvogue

et al. 2014

Cognitive Behaviour Therapy

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Pioneering models of social anxiety disorder (SAD) underscored fear of negative evaluation (FNE) as central in the disorder's development. Additional cognitive predictors have since been identified, including fear of positive evaluation (FPE), anxiety sensitivity, and intolerance of uncertainty (IU), but rarely have these constructs been examined together. The present study concurrently examined the variance accounted for in SAD symptoms by these constructs. Participants meeting criteria for SAD (n = 197; 65% women) completed self-report measures online. FNE, FPE, anxiety sensitivity, and IU all accounted for unique variance in SAD symptoms. FPE accounted for variance comparable to FNE, and the cognitive dimension of anxiety sensitivity and the prospective dimension of IU accounted for comparable variance, though slightly less than that accounted for by FNE and FPE. The results support the theorized roles that these constructs play in the etiology of SAD and highlight both FNE and FPE as central foci in SAD treatment.

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Cognitive‐Behavioral Models of Social Anxiety Disorder

Cited by 33 publications

References 36 publications

Exploration of psychological distress experienced by survivors of adolescent cancer reporting a need for psychological support

Exploration of psychological distress experienced by survivors of adolescent cancer reporting a need for psychological support

Implicit associations in social anxiety disorder: The effects of comorbid depression

Cognitive Constructs and Social Anxiety Disorder: Beyond Fearing Negative Evaluation

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